Betsy,

What a positive that your client's baby had a doctor able to do the release 
of both the labial and lingual frenula.

To answer your specific question: A few weeks ago i had the references at my 
finger tips and can't find them this morning, but protein is one of the 
components that becomes a little more concentrated as the supply gradually 
declines during a long weaning period.  I've seen no evidence that protein 
declines. So it would seem very unlikely that the protein content in the 
milk at 2 years postpartum would be lower in protein, even though the donor 
mother is producing lots of milk. Your client's baby isn't receiving her/his 
total intake from the donor, most coming from Mum, and it looks as if the 
donor milk is only till Mum's supply increases. To date, no issues of poor 
growth have been raised in several cases series where some milk donors were 
mothers of toddlers, but this wans't specifically looked for.

Virginia
in Brisbane, QLD, Australia
~~~~~~~~~~~~~~~~~~~
Hello ladies, I have a question about donor milk. In my community (Seattle) 
many moms opt to use donor milk over formula when their babies need extra 
food. We always discuss the risks and benefits and talk about questions the 
mama needs to ask the donor, and I always recommend going through a health 
care provider. Nonetheless many mamas are getting milk from girlfriends and 
colleagues.
A client has very low supply as a result of an undiagnosed untreated lip and 
tongue tie. I saw them first at three weeks and both were released 
brilliantly at four weeks. Baby went from transferring 12 ml to transferring 
20 ml, however mom's supply is still very low so we discussed domperidone 
and pumping more frequently.
A friend is willing to donate 6 ounces of milk a day -- she is nursing a two 
year old. The doctor who did the TT release said she was concerned there 
wasn't enough protein in two year old milk and recommended either milk from 
a younger baby or formula. I feel human milk is always preferable to 
formula, but I'm concerned about the nutritional balance. What are your 
thoughts?
thank you!

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